front 1 Identify the age group of children per Erickson in the development stage of industry vs inferiority | back 1 6-12 |
front 2 Identify the age group of children per Erickson in the developmental stage of Autonomy vs. Shame & Doubt | back 2 1-3 |
front 3 Identify the age group of children per Erickson in the developmental stage of Initiative vs Guilt. | back 3 3-6 |
front 4 Identify the age group of children per Erickson in the developmental stage of Identity vs. Role Confusion. | back 4 13-21 |
front 5 According to Piaget, adolescents tend to be in what stage of cognitive development? | back 5 Formal operational thought |
front 6 A 17 month old child should be expected to be in which stage according to Piaget? | back 6 Sensorimotor stage |
front 7 A Pediatric Nurse Practitioner (PNP) in the peds clinic is assessing the reflexes of a 6 month old infant. Which of the following reflexes should usually not be seen at this age? | back 7 Startle |
front 8 Which of the following reflexes usually disappear in a newborn around 3-4 months of age? (Select all) | back 8 Moro, Startle, Rooting |
front 9 The nurse is doing a neurologic assessment on a 2 month old infant after a car accident. Moro, tonic, neck, and withdrawal reflexes are present. The nurse should recognize that these reflexes suggest which of the following? | back 9 Neurologic health |
front 10 A parent brings a 6 month old to the pediatric clinic for her well baby examination. Her birth weight was 8.2 lbs. The nurse weighing the infant today would expect her weight to be at least? | back 10 16 lb |
front 11 What developmental achievements are demonstrated by a 4 y.o child? (Select all) Commonly has an imaginary playmate, Tends to be selfish and impatient, Fears are common | back 11 Commonly has an imaginary playmate, Tends to be selfish and impatient, Fears are common |
front 12 Select the developmental milestones usually seen in children during the toddler stage (1-3 years). (Select all) | back 12 Two to three word sentences appears to be bowlegged and potbellied |
front 13 At what age can most infants sit steadily unsupported? | back 13 8 months |
front 14 A nurse is providing anticipatory guidance to the parents of a toddler. Which of the following should the nurse include in the teaching? | back 14 Expect negative behaviors associated with negativism and ritualism, Develop food habits that will prevent dental caries, and Expression of bedtime fears is common |
front 15 By which age should the nurse expect that an infant will be able to pull to a standing position? | back 15 11 to 12 months |
front 16 At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli? | back 16 2 months |
front 17 A child begins to blame his father for his parent’s divorce and has displayed intense anger towards his father. In which age group of children is this most likely to occur? | back 17 School age |
front 18 At what age should the nurse expect most infants to be saying Mama or Dada? | back 18 10 months |
front 19 Which condition/behavior manifested by an 11 month old infant warrants further evaluation? | back 19 Unable to pull to a standing position |
front 20 You are observing a 5 month old for developmental skills. Which of the following skills would concern you if the infant was not demonstrating? | back 20 Turn head to locate sound |
front 21 In terms of gross motor development what should the nurse expect an infant age 5 months to do? | back 21 Turn from the abdomen to the back |
front 22 The Pediatric Nursing student is educating a mother who plans to discontinue breast-feeding when the infant is 9 month old. The nursing student should advise her to include which foods in her infant’s diet? | back 22 Iron rich formula only |
front 23 . A nurse is assessing a 2 1⁄2 y.o toddler at a well child visit. Which clinical finding should be reported to the healthcare provider? | back 23 Head circumference exceeds chest circumference (hydrocephaly) |
front 24 At what age is it safe to give infants whole milk instead of commercial infant formula? | back 24 12 months |
front 25 During a well-baby visit a parent asks the nurse when she should start giving solid foods. The nurse should instruct her to introduce which solid food first? | back 25 Rice cereal |
front 26 A Pediatric nursing student, while assisting in teaching nutrition to new parents, informs them that eating preferences are influenced primarily by the family. At what age is lifelong eating habits usually established? | back 26 Age 3 |
front 27 A 14 month old boy is hospitalized with dehydration. He is inconsolable, screaming, and rejecting your physical contact. What best describes his response? | back 27 Separation Anxiety- PROTEST PHRASE |
front 28 A school nurse decides to initiate a safety program for increasing the use of bicycle helmets. The program is an example of: | back 28 Primary prevention |
front 29 What does the nurse recognize as physical signs of approaching death?(SELECT ALL) | back 29 Mottling of skin, Cheyne-Stokes respirations, decreased appetite and thirst |
front 30 Select the rational for the relationship between children having anemia and lead poisoning. | back 30 Children with anemia absorb lead more easily |
front 31 The Pediatric nurse should begin screening for lead poisoning when a child reaches which age? | back 31 12 months |
front 32 Which of the following body systems can be severely affected with an increased lead level in a developing child? | back 32 Hematologic and neurologic |
front 33 A child has been admitted to the hospital with a blood lead level of 42 mcg/dl. What treatment should the nurse anticipate? | back 33 Initiation of chelation therapy |
front 34 Which is the leading cause of death in infants younger than 1 in the U.S? | back 34 Congenital anomalies |
front 35 What is the leading cause of death in children older than 1 year in the U.S.? | back 35 Complications from childhood unintentional injuries |
front 36 What is the leading cause of death from unintentional injuries in children? | back 36 Motor vehicles |
front 37 What is the most frequent source of symptomatic lead poisoning in children? | back 37 Lead-based paint |
front 38 A 12-month-old client has a high blood lead level of 18 mcg/dL. The nurse educates the parents about lead poisoning. Which statements made by the parent indicate that teaching is successful? (Select all that apply.) | back 38
I should get our home inspected for the source of lead.” “We will have to return for a follow-up lead level.” |
front 39 A 12-month-old is found to have a moderately elevated blood lead level. Which of the following is the most serious concern for this child? | back 39 Neurocognitive impairment |
front 40 A child with acetaminophen (Tylenol) poisoning has been admitted to the emergency department. What antidote does the nurse anticipate being prescribed? | back 40 N-acetylcysteine (Mucomyst |
front 41 The nurse suspects that a child has ingested some type of poison. What clinical manifestation would be most suggestive that the poison was a corrosive product? | back 41 edema of the lips, tongue, and pharynx |
front 42 A 7-year-old child has ingested a toxic dose of iron. The parent reports that the child vomited and had gastric pain an hour ago but “feels fine” now. The parent is not sure when the child ingested the iron tablets. What is the appropriate recommendation by the nurse? | back 42 Bring the child to the hospital immediately. |
front 43 The parent of an 8.2 kg 9 month old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put in the car seat is what? | back 43 Rear facing in back seat |
front 44 The nurse is ready to perform a physical exam on a 9 month old infant. Where should the nurse place the infant? | back 44 On the parent’s lap |
front 45 Which of the following is the best method for performing a physical examination on a toddler? | back 45 From least to most intrusive |
front 46 The nurse is performing a physical assessment on a 7 y.o child. The parents state that the child has trouble seeing the board at school. What visual impairment should the nurse suspect? | back 46 Myopia or nearsightedness |
front 47 What approach is the most appropriate when performing a physical assessment on a toddler? | back 47 Use minimum physical contact initially. |
front 48 What findings on physical assessment of a neonate would indicate the need for further evaluation? | back 48 Low-set ears |
front 49 The nurse is performing of physical examination on a 10-year-old client with abdominal discomfort. Which actions would be appropriate during the examination? Select all that apply. | back 49
Ask the client to describe the chief symptom |
front 50 A nurse in a pediatric clinic is performing a physical examination of a 30-month-old child. Which finding requires further evaluation? | back 50 Current weight is 6 times greater than birth weight |
front 51 A nurse is planning to complete a physical examination of a toddler. Which approach is an appropriate intervention by the nurse? | back 51 Encourage the parent to be involved with the child |
front 52 The nurse is performing a physical assessment on a 2-year-old with cold symptoms and a fever at home of 101.7 F (38.7 C). The parent is concerned about the child's ability to cooperate during the examination. Place the components of assessment in the order the nurse would perform them. | back 52 Interact with the parent in a friendly manner, play with the child using a finger puppet, measure the child's height and weight, auscultate the child's heart and lungs, take the child's vital signs |
front 53 When performing a physical examination on an infant, the nurse in charge notes abnormally low-set ears. This finding is associated with: | back 53 Renal anomalies |
front 54 Which of the following is the most consistent and commonly used data for assessment of pain in infants? | back 54 Behavioral |
front 55 Which of the following is an important consideration when using the APPT pain rating scale with children? | back 55 Children color the area with the color they choose to best describe their pain |
front 56 The components of the FLACC scale include cry, leg movement, facial expression and activity. | back 56 Consolability |
front 57 What is the most consistent and commonly used indicator of pain in infants? | back 57 Facial expression of discomfort |
front 58 The nurse is educating a new nurse on identification of pain in children. What does the nurse teach about physiologic measurements in children’s pain assessment? | back 58 Not useful as the only indicator for pain |
front 59 What self-report pain rating scales can be used in children as young as 3 years of age? | back 59 FACES Pain Rating Scale |
front 60 Which of the following pain tool is most appropriate for use in a 10 yr old child with Sickle Cell Anemia, to outline the area of the child’s pain? | back 60 APPT scale |
front 61 The nurse assists with a staff education conference about appropriate nonpharmacological pain-management interventions for newborns and infants. Which of the following strategies should be included in the presentation? (Select all that apply.) | back 61
Administer an oral sucrose solution to a newborn during a
circumcision procedure.
Offer a pacifier to an infant while performing
venipuncture. |
front 62 The nurse is caring for a child receiving a continuous intravenous (IV) low dose infusion of morphine for severe postoperative pain. The nurse observes a slower respiratory rate and the child cannot be aroused. The most appropriate management of this child is for the nurse to do which first? | back 62 Administer naloxone (Narcan) |
front 63 A 5 year old has patient-controlled analgesia (PCA) for pain management after abdominal surgery. What information does the nurse include in teaching the parents about the PCA? | back 63 The pump allows for a continuous basal rate and delivers a constant amount of medication to control pain. |
front 64 What information does the nurse include when teaching parents about nonpharmacologic strategies for pain management in children? | back 64 May reduce pain perception. |
front 65 The nurses caring for a child are concerned about the child’s frequent requests for pain medication. During a team conference, a new nurse suggests they consider administering a placebo instead of the usual pain medication to see how the child responds. The team educates the nurse on why this is not appropriate and bases the decision on what knowledge? | back 65 This practice is unjustified and unethical. |
front 66 The nurse is caring postoperatively for an 8-year-old child with multiple fractures and other traumatic injuries from a motor vehicle crash. The child is experiencing severe pain. What is an important consideration in managing the child’s pain? | back 66 Plan a preventive schedule of pain medication around the clock. |
front 67 The nurse is caring for a 12-year-old boy who sustained major burns when he put charcoal lighter on a campfire. The nurse observes that he is “very brave” and appears to accept pain with little or no response. What is the most appropriate nursing action? | back 67 Request a psychologic consultation |
front 68 The nurse is caring for a child with multiple injuries who is comatose. What information is accurate related to pain in this child? | back 68 Requires astute nursing assessment and management. |
front 69 The nurse is caring for an adolescent client receiving intravenous (IV) morphine for severe pain. The nurse observes a respiratory rate shallow, and the client cannot be aroused. What priority nursing action should the nurse take? | back 69 Discontinue intravenous infusion |
front 70 What is the single most important factor to consider when communicating with children? | back 70 Child’s developmental level |
front 71 The nurse is having difficulty communicating with a hospitalized 6 yr old. Which technique should be most helpful? | back 71 Provide supplies for the child to draw a picture |
front 72 What approach would be best to use to ensure a receptive response from a toddler? | back 72 Focus communication on the child and tell him or her how a procedure will feel. |
front 73 The nurse would make a referral for communication impairment in what situations? | back 73 First words not uttered before age 2 years |
front 74 What communication strategies would the nurse have in place when establishing rapport with the caregiver and an 8-year-old during a health history interview? Select all that apply. | back 74 Allow the child to describe their issue, Maintain an eye level position when speaking with the child, Use language that both the child and caregiver can understand |
front 75 A 10 y.o female seen in specialty peds clinic has a diagnosis of Spina Bifida. On examination the peds nurse observes dark tufts of hair at the lumbar sacral region. Which of the following is the child’s diagnosis? | back 75 Spina Bifida Oculta |
front 76 The pediatric nurse is preparing to admit a 5 y.o with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe? | back 76 Overflow incontinence with constant dribbling of urine |
front 77 A 10 yr old female seen in a specialty peds clinic has a diagnosis of Spina Bifida. On examination the peds nurse observes the spinal sac with meninges and nerves. Which of the following is the child’s diagnosis? | back 77 Myelomeningocele |
front 78 Latex allergy is suspected in a child with spina bifida. What are appropriate nursing interventions to include in care of this patient? | back 78 Avoid using any latex product. |
front 79 A 4 yr old with Spina Bifida is prepared for a straight catherization by the peds nurse. Which of the following actions by the nurse is recommended for this child? | back 79 Medicate the child with pain meds before the procedure |
front 80 Spina bifida is one of the possible neural tube defects that can occur during early embryological development. Which of the following definitions most accurately describes meningocele? | back 80 Sac formation containing meninges and spinal fluid |
front 81 The nurse is preparing to admit a 5-year old with spina bifida cystica that was below the second lumbar vertebra. What clinical manifestations of spina bifida cystica below the second lumbar vertebra should the nurse expect to observe? SATA. | back 81 Lack of bowel control, flaccid, partial paralysis of lower extremites, overflow incontinence with constant dribbling of urine |
front 82 A nurse is caring for an infant with myelomeningocele scheduled for a surgical closure in the morning. Which interventions should the nurse plan for the care of the myelomeningocele sac? | back 82 Cover with a sterile, moist, nonadherent dressing |
front 83 What problem is most often associated with myelomeningocele? | back 83 Hydrocephalus |
front 84 One of the most important interventions when caring for an infant with myelomeningocele in the preoperative stage is which? | back 84 Place the infant on the side to decrease pressure on the spinal sac. |
front 85 What childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneuomonia? | back 85 Hib vaccine |
front 86 . A toddler is admitted to the pediatric unit with presumptive bacterial meningitis. The initial orders include isolation, intravenous access, cultures, and antimicrobial agents. The nurse knows that the antibiotic therapy will begin: | back 86 When the medication is received from the pharmacy |
front 87 The nurse is planning care for a school-age child with bacterial meningitis. What intervention should be included? | back 87 Keep environmental stimuli to a minimum |
front 88 The nurse is planning care for a school age child with bacterial meningitis. What intervention should be included? | back 88 Assess for signs of increased intercranial pressure |
front 89 A 2-year-old child is being admitted to the hospital for possible bacterial meningitis. What is the appropriate nursing intervention when preparing for a lumbar puncture? | back 89 Place the child in a side-lying position |
front 90 The nurse is admitting a young child to the hospital because bacterial meningitis is suspected. What is a priority of nursing care? | back 90 Administer antibiotic therapy as soon as it is available. |
front 91 The nurse receives new prescription for a 6-month-old client with bacterial meningitis. Which action is the priority of care? | back 91 Administer 400 mg ceftriaxone IV every 12 hours |
front 92 The nurse is caring for an infant with suspected meningitis and preparing to assist with a lumbar puncture. What is the appropriate nursing intervention? | back 92 Hold the child with the head and knees tucked in and the back rounded out. |
front 93 A nurse is caring for a 3-month-old infant who as bacterial meningitis. Which clinical findings support this diagnosis? Select all that apply. | back 93 Frequent seizures, High-pitched cry, Poor feeding, Vomiting. |
front 94 A 7-month-old infant is admitted to the unit with suspected bacterial meningitis after receiving an initial dose of antibiotics in the emergency department. Frequent assessment of which of the following is most important in the plan of care? | back 94 Fontanel assessment |
front 95 A 7-month-old infant is admitted to the unit with suspected bacterial meningitis after receiving an initial does of antibiotics in the emergency department. Frequent assessment of which of the following is most important in the plan of care? | back 95 Fontanel assessment |
front 96 A pediatric nurse is caring for a newborn in the NICU with clinical manifestations of bulging fontanel and distended scalp veins and separated sutures. Which of the following diagnosis the symptoms suggest? | back 96 Hydrocephalus |
front 97 An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care would include what? | back 97 Monitor closely for signs of infection. |
front 98 A child is brought to the emergency department after experiencing a seizure at school. He has no history of seizures. The father tells the nurse that he cannot believe the child has epilepsy. What is the best response by the nurse? “ | back 98 The seizure may or may not mean that your child has epilepsy.” |
front 99 After studying about seizures, the student nurse understands which of the following? | back 99 Complex partial seizures result in no loss of consciousness |
front 100 The nurse is preparing for the admission of a 9- year-old client with new-onset tonic-clonic seizures. It is important for the nurse to ensure that what is in the room? | back 100 Oxygen delivery system, padding on the bed side rails, Suction equipment. |
front 101 A nurse is teaching the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching? | back 101 My child May stare and seem inattentive.” |
front 102 A nurse is teaching the parent of a child who has a new diagnosis of absence seizures. Which statement by the parent indicates understanding of the teaching? | back 102 “My child may seem confused afterwards” |
front 103 The school nurse is caring for a child with seizures. What is the initial clinical manifestation of absence seizures that nurse needs to be aware of? | back 103 Brief loss of consciousness. |
front 104 Of the following which are possible signs of Cerebral Palsy (CP) ? Select All. | back 104 Poor head control after age 3 months -Persistent primitive reflexes -Feeding difficulties |
front 105 A child with cerebral palsy is seen in peds specialty clinic and will receive a Botox injection. The peds nurse is aware the treatment is specifically for which of the following conditions? | back 105 Spasticity |
front 106 A 6-month-old infant does not smile, has poor head control, has a persistent Moro reflex, and often gags and chokes while eating. What are these findings are most suggestive of in this infant? | back 106 Cerebral palsy |
front 107 The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. What is the basis for the nurse’s response? | back 107 Implantation of a pump to deliver medication into the intrathecal space decreases spasticity. |
front 108 An infant was assessed in peds clinic with the following symptoms: visible peristalsis, failure to thrive, an infant who is ‘always hungry’, dehydration. What is the likely diagnosis? | back 108 Pyloric Stenosis |
front 109 The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestations would indicate pyloric stenosis? Select All. - | back 109 Non-bilious vomiting and weight loss -Projectile vomiting -Olive-shaped mass above umbilicus |
front 110 The parent of a 21-day-old male infant reports that the infant is “throwing up a lot.” Which assessment should the nurse make to help determine if pyloric stenosis is an issue? (Select all that apply.) | back 110 Assess the parent’s feeding technique. Check if the vomiting is projectile. Compare current weight to birth weight |
front 111 The nurse is gathering data on a 5-week- old admitted with a suspected diagnosis of pyloric stenosis. The nurse should expect to find which laboratory value? | back 111 Hematocrit of 57% (0.57) |
front 112 a child with pyloric stenosis is having excessive vomiting, which of the following is a potential complication? | back 112 metabolic Alkalosis |
front 113 A toddler with symptoms of sudden inconsolable screaming or crying, drawing up of the knees to the chest, vomiting, and a tender distended abdomen will probably be diagnosed with which of the following diseases? | back 113 Intussusception |
front 114 A 2 y.o is hospitalized with suspected intussusception. Which finding is associated with intussusception? | back 114 Currant jelly stools |
front 115 The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? Select all. - | back 115 Palpable sausage shaped abdominal mass -Vomiting -Stool mixed with blood and mucous |
front 116 The nurse is caring for a 2-year-old who is receiving a saline enema for treatment of intussusception. Reporting which client finding to the health care provider (HCP) is most important? | back 116 Passed a normal brown stool. |
front 117 A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect? | back 117 Stools mixed with blood and mucus. |
front 118 The nurse is assessing an infant with intussusception. Which of the following clinical findings should the nurse expect? (Select all that apply.) | back 118 Palpable sausage-shaped abdominal mass, Screaming and drawing of the knees up to the chest, Stool mixed with blood and mucus. |
front 119 The nurse assesses a child with intussusception. Which assessment findings require priority intervention? | back 119 Abdominal rigidity with guarding |
front 120 . The pediatric nurse cares for a 16-year- old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client’s psychosocial needs? (Select all that apply | back 120
Encourage the client to have peers visit while
hospitalized. |
front 121 A school age child with celiac disease asks for guidance about snacks that will not exacerbate the disease. What snack should the nurse suggest? | back 121 Popcorn |
front 122 The nurse is assisting a child with celiac disease to select foods from a menu. What foods should the nurse suggest? | back 122 Corn on the cob with butter |
front 123 An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following? | back 123 Wheat. |
front 124 Which of the following statements made by the mother of a child recently diagnosed with celiac disease indicates a need for further teaching? “ | back 124 “My child can have small amounts of foods containing wheat as long as she remains symptoms free.” |
front 125 The school nurse creates a cafeteria menu for a newly enrolled child with celiac disease. Which lunches would be appropriate for this child? Select all that apply. | back 125 Grilled chicken, baked potato, and strawberry yogurt, Mexican corn tacos with ground beef and cheese, Rice noodles with chicken and broccoli |
front 126 a school-age child with celiac disease asks for guidance about snack that will not exacerbate the disease, what snack should the nurse suggest? | back 126 potato chips |
front 127 Parents ask the nurse if there was something that should have been done during the pregnancy to prevent the child’s cleft lip. Which statement should the nurse give as a response? | back 127 The malformation occurs at approximately 6 weeks of gestation, there is no known way to prevent this |
front 128 The parents of an infant with a cleft palate ask the nurse “What follow-up care will our infant need after the repair?” Which is an accurate response by the nurse? | back 128 Your infant will need follow-up care with audiologists and orthodontists |
front 129 An infant with an isolated cleft lip is admitted to the ICU for pre-op care. Which information should the nurse plan to discuss while educating the parents?(Select all) | back 129 Use check support while feeding with special nipples, the infant may be restrained after surgery, and multiple specialists will be assigned to infant’s care |
front 130 In the recovery room, the best immediate post-op position for an infant who had cleft lip repair is? | back 130 Supine with the head turned to the side |
front 131 What is a major long-term problem for a child with a cleft lip and palate? | back 131 Faulty dentition |
front 132 A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and anticipates good results. However, the mother refuses to see or hold her baby. What would be included in the initial therapeutic approach to the mother? | back 132 Encourage her to express her feelings. |
front 133 The nurse is assessing a 3-month-old infant who was admitted to the floor 18 hours ago after undergoing surgical repair of a cleft lip. Which assessment finding would cause the nurse to be concerned? | back 133 The client is prone while playing with the parent |
front 134 The nurse plans care for a pediatric client who has just undergone a cleft palate repair. which of the following interventions should the nurse include in the plan of care? Select all that apply. | back 134
Assist and encourage caregivers to hold and comfort the
child |
front 135 A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? | back 135 Assessing bowel function. |
front 136 A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include? | back 136 Skin and stoma care. |
front 137 A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse suspect? | back 137 Hirschsprung disease |
front 138 A pediatric nurse assesses a newborn with symptoms of failure to pass meconium within 48 hrs after birth. Which of the following diseases will be suspected in this newborn? | back 138 Hirschsprung. |
front 139 A 3-day-old infant presents with abdominal distention, is vomiting, and has not passed any meconium stools. What disease should the nurse expect? | back 139 Hirschsprung disease. |
front 140 The nurse is caring for an infant diagnosed with Hirschsprung disease who is awaiting surgery. Which assessment finding requires the nurse’s immediate action? | back 140 Episode of foul-smelling diarrhea and fever. |
front 141 A newborn had a bowel resection with temporary colostomy for Hirschsprung's disease. The nurse should alert the health care provider (HCP) for which assessment finding post operatively? | back 141 Stoma is Gray-tinged at the edges but pink at the center on postoperative day 5 |
front 142 The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which MOST LIKELY sign of this condition documented in the record? | back 142 Choking with feedings |
front 143 Of the following diagnosis, which would the nurse identify as a priority for the infant with tracheoesophageal fistula (TEF)? | back 143 Risk of injury related to increased potential for aspiration |
front 144 The nurse assesses a neonate after spitting up the first feeding and having a coughing episode during the feeding. What assessment finding would indicate possibility of esophageal atresia or tracheoesophageal fistula? | back 144 Excessive amount of frothy saliva in the mouth |
front 145 A newborn is being evaluated for possible esophageal atresia with tracheoesophageal fistula. Which finding is the nurse most likely to observe? | back 145 Choking and cyanosis during feeding |
front 146 a newborn is diagnosed with Tracheoesophageal Fistula at birth. An initial nursing function is to assure that which of the following orders are implemented? | back 146 Suction as needed |
front 147 Which of the following pharmacology therapy is used to treat infants and children with Gastroesophageal Reflux Disease (GERD)? | back 147 Zantac (Ranitidine) |
front 148 Which of the following parameters would the nurse monitor to evaluate the initial effectiveness of thickened feedings for an infant with gastroesophageal reflux (GER)? | back 148 Vomiting |
front 149 The nurse provides feeding instructions to a parent of an infant diagnosed with gastro-esophageal reflux (GER). Which instruction should the nurse give the parent to assist in reducing the episodes of emesis? (Select all that apply) | back 149 Provide smaller more frequent meals, Thicken the feedings by adding rice cereal to the formula, Burp the infant frequently during feeding |
front 150 A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What would be the nurse’s best response? | back 150 Urine output will increase |
front 151 A child is admitted with acute glomerulonephritis. What should the nurse expect the urinalysis during this acute phase to show? | back 151 Hematuria and proteinuria |
front 152 The nurse notes that a child has lost 3.6 kg (8 lb) after 4 days of hospitalization for acute glomerulonephritis. What is the most likely cause of this weight loss? | back 152 Reduction of edema |
front 153 What best describes the cause of most cases of acute glomerulonephritis? | back 153 Antecedent streptococcal infection |
front 154 In acute glomerulonephritis, what is the nurse is aware that is an early warning sign of encephalopathy? | back 154 Dizziness |
front 155 A client diagnosed with acute glomerulonephritis has pitting edema in both lower extremities, blood pressure of 170/80 mm Hg, and proteinuria. When developing a plan of care for this client, the nurse should include which most accurate indicator of fluid loss or gain? | back 155 Daily weight measurements. |
front 156 A nurse is caring for a child with acute glomerulonephritis. Frequent monitoring of which of the following is a priority? | back 156 blood pressure |
front 157 The nurse is evaluating a female child with acute post streptococcal glomerulonephritis for signs of improvement. Which finding typically is the earliest sign of improvement? | back 157 Increased urine output |
front 158 A parent asks the nurse what would be the first indication that acute glomerulonephritis was improving. What should be the nurse’s best response? | back 158 Urine output will increase |
front 159 A 2 y.o child is on prednisone for minimal change nephrotic syndrome (MCNS). Which of the following indicates the effectiveness of prednisone therapy? | back 159 Diuresis occurs as urinary protein excretion diminishes |
front 160 A 3 y.o is admitted to the peds unit with minimal change nephrotic syndrome. What clinical manifestations are usually seen with this diagnosis? | back 160 Massive proteinuria, hypoalbuminemia, and edema |
front 161 Which of the following are clinical manifestations of minimal change nephrotic syndrome, usually seen in children with this disorder? | back 161 Massive proteinuria, hypoalbuminemia, and edema. |
front 162 What are the common clinical manifestations of nephrotic syndrome? | back 162 Proteinuria, hypoalbuminemia, and edema |
front 163 What is included in the therapeutic management of nephrotic syndrome? | back 163 Corticosteroids |
front 164 A hospitalized child with minimal change nephrotic syndrome is receiving high dose prednisone. What nursing goal is appropriate for this child? | back 164 Promote adherence to the antibiotic regimen |
front 165 A disorder in which the basement membrane of the glomeruli becomes permeable to plasma proteins describes which of the following disorders? | back 165 Nephrotic syndrome |
front 166 The nurse is caring for a 7-year-old client diagnosed with nephrotic syndrome who will be discharged soon. Which statement by the parent indicates the need for further teaching? | back 166 “I’ll organize playdates to keep my child’s spirits up during relapses.” |
front 167 A nurse is reviewing the laboratory values for a 3-year-old client with nephrotic syndrome. The nurse interprets the results to most clearly reflect which physiologic process related to nephrotic syndrome? | back 167 Glomerular injury |
front 168 a child is admitted for minimal change nephrotic syndrome. The nurse recognizes that the child’s prognosis is related to what factor? | back 168 Response to steroid therapy |
front 169 A full-term male has hypospadias. Which statement describes hypospadias? | back 169 The urethral meatus opens on the underside of the penis |
front 170 Hypospadias refers to what? | back 170 Urethral opening along ventral surface of penis |
front 171 The nurse has assessed 4 children. Which finding requires immediate follow-up with the health care provider? | back 171 Answer: child who had a surgical repair of hypospadias earlier today with no urinary output in the past two hours. |
front 172 An infant in the NICU was born with hypospadias, which of the following should be avoided when a child has such condition | back 172 Circumcision |
front 173 To assist in the prevention of urinary tract infections (UTIs) in children, which of the following is one of the best recommendations the nurse should make to parents? | back 173 Ensure clear liquid intake of 2 L/day |
front 174 A young child is diagnosed with vesicoureteral reflux. What is a common recurrent complication in a child with this diagnosis? | back 174 Recurrent urinary tract infections |
front 175 What factors predisposes the urinary tract to infection? | back 175 Short urethra in girls |
front 176 A nurse is teaching the parent of a 6-year-old with a urinary tract infection (UTI) how to avoid repeat infections. Which statements by the patient indicate that the teaching has been effective? Select all that apply | back 176 “I will make sure my child does not hold urine” “I will not give my child any more bubble baths” “I will teach my child to wipe from the front to the back” |
front 177 which of the following instructions would be included in the preventive teaching plan about urinary tract infections for a preschool female child? | back 177 Wiping front to back |
front 178 What child has a cyanotic congenital heart defect? | back 178 2 month old with tetralogy of Fallot |
front 179 a nurse in the neonatal intensive care unit discovers a cyanotic newborn with excessive frothy mucus in the mouth. What should be the nurse’s first action? | back 179 Suction the infant’s mouth |
front 180 The nurse receives report on 4 pediatric clients on a telemetry unit. Which client should the nurse assess first? | back 180 Infant client with ventricular septal defect with reported grunting during feeding |
front 181 The nurse has received report on 4 pediatric clients on a telemetry unit. Which client should the nurse assess first? | back 181 Infant client with ventricular septal deficit with reported grunting during feeding |
front 182 A child with heart failure is in Lanoxin(digoxin). The laboratory value a nurse must closely monitor is which? | back 182 Serum Potassium |
front 183 What is an early sign of heart failure that would be recognized by the nurse? | back 183 Tachypnea |
front 184 What would be included in nursing care of an infant with heart failure? | back 184 Organize activities to allow for uninterrupted sleep. |
front 185 What structural defects constitute tetralogy of Fallot? | back 185 Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy |
front 186 A 2 y.o child diagnosed with tetralogy of Fallot becomes upset, crying, and thrashing around when a blood specimen is obtained. The childs color becomes blue and respiratory rate increases to 44 bpm. Which of the following actions would the nurse do first? | back 186 Place the child in knee to chest position |
front 187 What heart defects causes hypoxemia and cyanosis because desaturated venous blood is entering the systemic circulation? | back 187 Tetralogy of Fallot |
front 188 A nurse is teaching the parents of an infant with tetralogy of Fallot. Which of the following actions should the nurse include to reduce the incidence of hypercyanotic spells? Select all that apply. The nurse is planning care for a child being | back 188 Encourage smaller, frequent feedings, Offer a pacifier when the infant begins to cry, promote a quiet period upon waking in the morning, Swaddle the infant during procedures |
front 189 A nurse is assisting a new mother as she is breastfeeding her infant. The infant has been diagnosed with tetralogy of Fallot. During feeding, the infant becomes cyanotic and is having difficulty breathing. What should be the nurse's first action? | back 189 Place infant in knee to chest position |
front 190
| back 190 Cool extremities. Puffiness around the eyes. Reduction in number of wet diapers. Weight gain. |
front 191 Which of the following actions by the school nurse is most important in the prevention of rheumatic fever(RF)? | back 191 Refer children with sore throats for throat cultures |
front 192 What sign/symptom is a major clinical manifestation of rheumatic fever(RF)? | back 192 Polyarthritis |
front 193 A nurse is reviewing the laboratory values of a child with rheumatic heart disease. Which finding does the nurse conclude is related to this condition? | back 193 Positive antistreptolysin titer |
front 194 What is included in the therapeutic management of the child with rheumatic fever? | back 194 Administration of penicillin |
front 195 Which of the following organism is responsible for the development of rheumatic fever? | back 195 Group A beta- hemolytic Streptococcus |
front 196 A 4 y.o child seen in the ER has symptoms of Kawasaki Disease(KD). Of the symptoms listed below which can potentially develop and pose a high risk for children with KD? | back 196 Coronary artery aneurysm |
front 197 Which of the following medication is commonly used to treat Kawasaki’s Disease(KD)? | back 197 IVIG |
front 198 A child is recovering from Kawasaki’s Disease(KD). The child should be monitored for which? | back 198 Electrocardiograph(ECG) changes |
front 199 The nurse is providing discharge instructions to nurse report to the health care provider that could the parent of a child with Kawasaki disease. The possibly delay the procedure? | back 199 Fever |
front 200 The nurse is planning care for a child being admitted with Kawasaki disease and should give priority to which nursing intervention? | back 200 Monitor for a gallop heart rhythm and decreased urine output. |
front 201 A 12-month-old with Kawasaki disease received IV immunoglobulin (IVIG ) 2 months ago. The child is in the clinic for follow-up and scheduled immunizations. Which vaccine should be delayed? Select all that apply. | back 201 Measles, mumps, rubella (MMR) Varicella |
front 202 When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care? | back 202 Therapeutic management includes administration of gamma globulin and salicylates. |
front 203 A child diagnosed with Coarctation of Aorta is scheduled for a f/u visit. While assessing the pediatric nurse would expect to find which of the following symptoms? | back 203 Absent or diminished femoral pulses |
front 204 What clinical finding may be present in an older child with Coarctation of the Aorta? | back 204 High blood pressure in the upper extremities |
front 205 Which clinical finding may be present in an older child with Coarctation of the Aorta? | back 205 Diminished pulse in the lower extremities |
front 206 A child diagnosed with Coarctation of aorta is scheduled for a follow up visit. While assessing, the pediatric nurse would expect to find which of the following symptom? | back 206 Bounding pulses in the upper extremities |
front 207 A 4 y.o male is rushed to the emergency dpt during an acute severe prolonged asthma attack and is unresponsive to usual treatment. The condition is referred to as which of the following? | back 207 Status Asthmaticus |
front 208 .A school age child has asthma. The nurse should teach the child that if a peak expiratory flow rate is in the yellow zone that means that the asthma control is what? | back 208 50-79% of a personal best and needs and increase in the usual therapy |
front 209 .What drug is usually given first in the emergency treatment of an acute severe asthma episode in a young child? | back 209 Short acting beta2- agonists |
front 210 .Which of the following describes moderate persistent asthma symptoms? | back 210 Symptoms seen on a daily basis |
front 211 An initial action of the nurse in caring for a child with Status Asthmaticus is which of the following? | back 211 Administer beta 2 agonists as ordered |
front 212 A nurse is evaluating the management of a child with a history of asthma. Which statement from the mother quires further investigation? | back 212 When my child has an attack she usually has to use her rescue inhaler 4x before her breathing improves |
front 213 The nurse assesses a child who has been treated for an acute asthma exacerbation. Which client assessment is the best indicator that treatment has been effective? | back 213 oxygen saturation has increased from 88% to 93%. |
front 214 Which pediatric respiratory presentation in the emergency department is a priority for nursing care? | back 214 Client with an acute asthma exacerbation but no wheezing |
front 215 The school nurse assesses and 8-year-old with a history of asthma. The nurse notes mild wheezing and coughing. Which action should the nurse perform first? | back 215 Asses the clients peak expiratory flow. |
front 216 Which of the following test aids in the diagnosis of cystic fibrosis(CF)? | back 216 Sweat test, stool for fat, chest x-ray films |
front 217 A parent prepares to administer pancreatic enzymes to an infant with cystic fibrosis. As per education she received the best action to administer the enzymes is which of the following? | back 217 Increase the dose of pancreatic enzymes if infant is having frequent bulky stool |
front 218 Which of the following is usually affected in cystic fibrosis, resulting in excess multisystem mucus build up that is difficult to clear? | back 218 Exocrine Gland |
front 219 The nurse is teaching a mother how to perform chest physiotherapy and postural drainage on her 3-year-old child, who has cystic fibrosis. What would the nurse include in the instructions for performing percussion? | back 219 Cover the skin with a shirt or gown before percussing. |
front 220 A school-age child with cystic fibrosis takes four enzyme capsules with meals. The child is having one to two bowel movements per day. The nurse action in regard to the pancreatic enzyme is based on the knowledge that the dosage is what? | back 220 Needs to be increased to decrease the number of bowel movements per day |
front 221 The mother of a 6-year-old child with cystic fibrosis (CF) has received instruction on the use of pancreatic enzymes. Which statement made by the mother indicates a need for further teaching? “ | back 221 It is okay for my child to chew this medication.” |
front 222 The nurse is caring for a 4-year-old client with cystic fibrosis who uses a high- frequency chest wall oscillation (HFCWO) vest for chest psychotherapy. After reinforcing education with the client’s parents, which statement by a parent requires further teaching? | back 222 “I will allow my child to have a snack while using the HFCWO vest to encourage cooperation.” |
front 223 The nurse has provided teaching about home care to the parent of a 10-year-old with cystic fibrosis. Which of the following statements by the parent indicate that teaching has been effective? Select all that apply. | back 223 i will give my child pancreatic enzymes with all meals and snacks”, “I will increase my child’s salt intake during hot weather”, “Our child will need a high-carbohydrate, high- protein diet.” |
front 224 A 6-month-old client has been diagnosed with cystic fribrosis. Which of the following would be appropriate for the registered nurse to teach the parents? | back 224 perform manual chest physiotherapy |
front 225 The nurse cares for a child newly diagnosed with cystic fibrosis. What should be included in the clients multidisciplinary plan of care to be discussed with the parents? | back 225 Aerobic exercise, Chest physiotherapy, Financial needs. |
front 226 A home health nurse is managing care for an adolescent client with cystic fibrosis. Which of the following potential complications should the nurse consider when developing a nursing care plan? | back 226 Chronic hypoxemia, Frequent respiratory infections, vitamin deficiencies. |
front 227 The nurse has provided teaching about home care to a parent of a 10- year-old with cystic fibrosis. Which of the following statements by the parent indicates that teaching has been effective? Select all that apply | back 227 “I will give my child pancreatic enzymes with all meals and snacks” “I will increase my child’s salt intake during the hot weather” “Our child will need a high- carbohydrate, high-protein diet” |
front 228 The nurse is teaching the parents of a child diagnosed with cystic fibrosis will advise the parents to choose foods that satisfy which recommended diet? | back 228 High calorie, high protein, high fat |
front 229 What childhood vaccine provides some protection against bacterial meningitis, epiglottitis, and bacterial pneuomonia? | back 229 Hib vaccine |
front 230 During the assessment of a 9 y.o child the nurse notes excessive drooling, the child is fearful refuses to lay down. Which condition does the nurse suspect? | back 230 Epiglottitis |
front 231 A 5 y.o is seen in the urgent care clinic with the following history and symptoms:sudden onset of severe sore throat after going to bed, drooling and difficulty swallowing, axillary temperature of 102.2 F(39.0 C), clear breath sounds, and absence of cough. The child appears anxious and is flushed. Based on these symptoms and history, the nurse anticipates a diagnosis of? | back 231 Acute epiglottitis |
front 232 The triage nurse is assessing an unvaccinated 4-month-old infant for fever, irritability, and open-mothers drooling. After the infant is successfully treated for epiglottis, the parents wonder how this could have been avoided. Which response by the nurse would be the most appropriate? | back 232 “Most cases of epiglottitis are preventable by standard immunizations.” |
front 233 The nurse in a clinic is caring for an 8- month-old with a new diagnosis of bronchiolitis due to respiratory syncytial virus (RSV). Which instructions can the nurse anticipate reviewing with the parent? | back 233 Use of saline drops and a bulb syringe to suction nares. |
front 234 .A 2 y.o has been placed in contact isolation because of diagnosis of respiratory syncytial virus(RSV)bronchlolitis. The father questions why the staff is wearing masks and gowns every time someone comes into the room. What is the best response by the nurse? | back 234 It is important for the staff to wear the equipment to prevent spreading it to others |
front 235 A 2 month old seen in peds clinic has symptoms of tachypnea, retractions, anorexia, apneic spells, copious nasal secretions and wheezing. Which of the following do these symptoms best describe? | back 235 RSV Bronchlolitis |
front 236 What illnesses does respiratory hygiene and cough etiquette by the Centers for Disease Control and Prevention (CDC) prevent? R | back 236 RSV, influenza, and adenovirus |
front 237 .A 5 y.o is admitted with bacterial pneumonia. What signs and symptoms should the nurse expect to assess with this disease process? | back 237 Fever, cough, chest pain |
front 238 The Hib conjugate vaccine protects an infant against what diseases? (Select all that apply.) | back 238 Bacterial meningitis, Epiglottitis ,Bacterial pneumonia, Septic arthritis Sepsis |
front 239 A 2 y.o is scheduled to have a tonsillectomy. How would you educate the patient? | back 239 Use picture books and puppets and repeat explanations |
front 240 The nurse is giving discharge instructions to the parents of a 5-year-old child who had a tonsillectomy 4 hours ago. Which of the following statements by the parent would indicate a correct understanding of the teaching? | back 240 I can use an ice collar on my child for pain control along with analgesics." |
front 241 When planning care for an 8 y.o boy with Down syndrome, the nurse should: | back 241 Assess the child’s current developmental level and plan care accordingly |
front 242 The home health nurse is planning care for a 3- year-old boy who has Down syndrome and is on continuous oxygen. He recently began walking around furniture. He is spoon fed by his parents and eats some finger foods. What is the most appropriate goal to promote normal development? | back 242 Encourage mobility. |
front 243 What is one of the major physical characteristics of a child with Down syndrome? | back 243 Hypotonic musculature |
front 244 A child with Down syndrome may be screened for what before participating in some sports? | back 244 Atlantoaxial instability |
front 245 What intervention should be included in the nursing care of a child with autism spectrum disorder(ASD)? | back 245 Decrease auditory and visual simulation |
front 246 .What intervention should be included in the nursing care of a child with autism spectrum disorder(ASD)? | back 246 Provide individualized care |
front 247 Autism is a complex developmental disorder. The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years? | back 247 Ability to maintain eye contact |
front 248 Which of the following should be included in the nursing care of a child with autism spectrum disorder(ASD)? | back 248 Provide a structured routine for the child to follow |
front 249 What is a common clinical manifestation of autism? | back 249 Early abnormal eye contact |
front 250 Which of the following should be included in the nursing care of a child with autism spectrum disorder (ASD): | back 250 Assign the child to a private room |
front 251 When performing developmental screenings in the well-child clinic, the registered nurse understands that which child is at highest risk of developing autism spectrum disorder? | back 251 4-year-old whose 10-year-old sibling has the disorder. |
front 252 A child with autism spectrum disorder is being admitted to an acute care unit. Which is the most important nursing action? | back 252 Placing a child in a private room away from the nurses station |
front 253 In a child with sickle cell anemia (SCA), adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia–ischemia cycle. What information should the nurse share with parents in a teaching plan? | back 253 Check for moist mucous membranes. |
front 254 In a child with sickle cell anemia (SCA), adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia–ischemia cycle. What information should the nurse share with parents in a teaching plan? | back 254 Monitor child for sign of dehydration. |
front 255 Child with sickle cell crisis, which signs and symptoms shows a child is having minor cerebral attack? | back 255 Headache, weakness, visual disturbances. |
front 256 What is a priority nursing consideration when caring for a child with sickle cell anemia? | back 256 Teach the parents and child how to recognize the signs and symptoms of crises. |
front 257 The parents of a child hospitalized with sickle cell anemia tell the nurse that they are concerned about narcotic analgesics causing addiction. The nurse would explain what concerning narcotic analgesics? | back 257 When they are medically indicated, children rarely become addicted. |
front 258 Which of the following pain tool is most appropriate for use in a 10 yr old child with Sickle Cell Anemia, to outline the area of the child’s pain? | back 258 APPT scale |
front 259 A teenage client with sickle cell disease is admitted with a diagnosis of crisis. The client’s current prescription is morphine 2 mg intravenous push every 4 hours prn. The client appears comfortable while watching television and tells the nurse “I have severe intolerable pain”, and rates it at a “10”. What action should the nurse take? | back 259 Call the HCP for the patient- controlled analgesia (PCA) at a high dose of the same drug |
front 260 The nurse is triaging a 7-year-old with sickle cell crisis. The client is short of breath and vomiting and has severe generalized body and joint pain. Which assessment finding requires the most immediate intervention? | back 260 Enlarged spleen on palpation |
front 261 In a child with sickle cell anemia, adequate hydration is essential to minimize sickling and delay the vasoocclusion and hypoxia-ischemia cycle. What information should the nurse share with parents in a teaching plan? | back 261 Monitor child for signs of dehydration |
front 262 A child with severe anemia requires a unit of red blood cells (RBC’s). The nurse explains that the transfusion is necessary for which reason. | back 262 Increase the amount of oxygen available to tissues |
front 263 Select the rational for the relationship between children having anemia and lead poisoning. | back 263 Children with anemia absorb lead more easily |
front 264 Select from the list below a reason for ‘innocent’ heart murmur in infants: | back 264 Anemia |
front 265 An overweight toddler is diagnosed with iron deficiency anemia. Which is the most likely explanation for the anemia? | back 265 Excessive intake of milk |
front 266 The client nurse is caring for several clients during well-child visits. The nurse should recognize each client as most as being the most at risk for anemia? | back 266 3-month-old infant born at preterm gestation who is exclusively bottle-fed with breast milk |
front 267 The nurse is teaching the family of a child, age 8-years-old, with moderate hemophilia about home care. What should the nurse tell the family to do to minimize joint injury? | back 267 Provide intravenous (IV) infusion of factor VIII concentrates. |
front 268 The school nurse is caring for a child with hemophilia who fell on his arm during recess. What supportive measures would the nurse implement first? | back 268 Elevate the arm above the level of the heart. |
front 269 The nurse receives 4 prescriptions for a child diagnosed with hemophilia A who was brought to the emergency department following an injury on the school playground. The child has vomited once and has a headache. Which prescription should the nurse carry out first? | back 269 Administer IV factor VIII. |
front 270 The clinic nurse supervises a student nurse who is preparing to administer routine vaccinations to a child diagnosed with hemophilia period which instructions should the clinic nurse provide to the student? | back 270
Administer vaccines via the subcutaneous route. |
front 271 The nurse is planning teaching for the parents of a child newly diagnosed with hemophilia will include information about which long- term complication? | back 271 Joint destruction |
front 272 The nurse provides discharge teaching for the parents of a child newly diagnosed with hemophilia A. Which statements by the parents indicate that teaching has been effective? Select all that apply. | back 272
our child should wear a medical alert bracelet at all
times.” |
front 273 A 3 y.o with a Wilms tumor is returning to the unit after surgery to remove the tumor. Which of the following is the highest post-op priority for the nurse? | back 273 Monitor vital signs especially blood pressure (b/c tumor of kidney) |
front 274 Where are Wilms tumors (nephroblastomas) located? | back 274 Kidney |
front 275 The nurse is admitting a 4-year-old diagnosed with Wilms tumor. The child is scheduled for a right nephrectomy in the morning. A | back 275 Instructions not to palpate the abdomen |
front 276 A child has been diagnosed with a Wilms tumor. What should preoperative nursing care include? | back 276 Careful bathing and handling |
front 277 What is included in the postoperative care of a preschool child who has had a brain tumor removed? | back 277 Carefully monitor fluids because of cerebral edema. |
front 278 Which of the following describes the pathophysiology of leukemia? | back 278 Unrestricted proliferation of immature white blood cells (WBCs) |
front 279 What are the most common signs and symptoms of leukemia related to bone marrow involvement? | back 279 Petechiae, fever, and fatigue |
front 280 . Several 12-month-old infants are brought to the clinic for routine immunizations. Which situation would be most important for the nurse to clarify with the provider before administering the vaccination? | back 280 Varicella-zoster vaccine for client recently diagnosed with leukemia. |
front 281 The nurse is caring for pediatric client with end stage leukemia who is on comfort care and is unresponsive. The child's parents ask, “how can you tell if my child is in pain?” which of these would the nurse describe as signs of discomfort? Select all that apply | back 281 Facial grimacing, groaning, knees bent up near chest |
front 282 A toddler is admitted to the hospital and report leg pain an fever. Assessment reveals the toddler is pale with body bruises. The health care provider suspects acute lymphoblastic leukemia (ALL). The nurse will inform the parents that confirmation of the disease will be determined by which test? | back 282 Bone marrow biopsy |
front 283 a 7 year old child with acute lymphatic leukemia is on steroids. A common side effect of corticosteroid (prednisone) therapy is? ANS: weight gain | back 283 weight gain |
front 284 Which of the childhood cancers listed below have a genetic link as a causative factor? | back 284 Retinoblastoma |
front 285 A 2-year-old is suspected of having retinoblastoma. The nurse recognizes which sign as being most characteristics of this disease? | back 285 Absent of red reflex |
front 286 The nurse is interpreting a tuberculin skin test. If the nurse finds a result of an induration 5 mm or larger in which should the nurse document this finding as positive?(SELECT ALL) | back 286 A child receiving immunosuppressive therapy, A child with a HIV infection, A child living in close contact with a known contagious case of tuberculosis |
front 287 The most recent laboratory results for a 12- month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm3 and a CD4 lymphocyte percentage of 10%. The nurse anticipates administering which immunizations? Select all that apply. | back 287 Haemophilus Influenzae type B (Hib), hepatitis A (Hep A), pneumococcal conjugate vaccine (PCV) |
front 288 The nurse is assessing a 4 y.o boy in the pediatric clinic. Which behaviors by the client would concern the nurse for possible Duchenne muscular dystrophy? Select all. | back 288
-Frequent trips and falls at home |
front 289 Duchenne Muscular Dystrophy (DMD) has which of the following inheritance patterns? | back 289 X linked recessive trait |
front 290 A young boy has just been diagnosed with pseudohypertrophic (Duchenne) muscular dystrophy. What is included in his plan of care for his family? | back 290 Recommend genetic counseling. |
front 291 Which of the following statements best describes Duchenne (pseudo-hypertrophic) muscular dystrophy (DMD)? | back 291 It had an X-linked inheritance problem
It is characterized by presence of the Gower sign |
front 292 A 4-year-old boy is diagnosed with Duchenne muscular dystrophy. Which nursing teaching is most appropriate to reinforce for the child’s parents? | back 292 Remove throw rugs from the home. |
front 293 The nurse teaches the mother of a young child with Duchenne’s muscular dystrophy about the disease and its management. Which of the following states by the mother indicates successful teaching? | back 293 My son will probably be unable to walk independently by the time he is 9 to 11 years old. |
front 294 The nurse is caring for an infant with osteogenesis imperfecta admitted with a new fracture. The client also has old fractures in multiple stages of healing but no bruising, abrasions, or redness of the skin. What nursing intervention should be included in the plan of care? | back 294 Obtain blood pressure manually to avoid cuff over-tightening. |
front 295 Among toddlers and children up to age five, femur fractures usually result from a low energy fall. In most cases, the orthopedic surgeon realigns the fracture using fluoroscopy or x-ray imaging as a guide and immobilizes the leg in a type of cast called a spica cast. Approximately how many weeks does it take for a fractured femur to heal in a 3- year-old? | back 295 3-8 week |
front 296 A 12 y.o child is seen in specialty clinic has ill fitting clothes, a rib hump and hip asymmetry, recently noticed by parents. Which of the following is the likely diagnosis of this child? | back 296 Scoliosis |
front 297 When does idiopathic scoliosis become most noticeable? | back 297 During the preadolescent growth |
front 298 At which of the following ages is recommendation made by the American Academy of Pediatrics (AAP), for pre-adolescent and adolescent females to be screened for Scoliosis? | back 298 10-12. |
front 299 The nurse is preparing an adolescent girl for surgery to treat scoliosis. What would the nurse include? | back 299 Blood administration may be an option. |
front 300 A 14-year-old is scheduled for surgery to treat scoliosis. The child will be hospitalized for about a week and then discharged home to recuperate for 3-4 weeks before returning to school. What is the best activity the nurse can recommend to promote age-specific growth and development during this time? | back 300 Visits from friends. |
front 301 Which of the following treatment is the best method for a 7-month-old infant with Developmental Dysplasia of the Hip (DDH)? | back 301 Closed Reduction with Spica Casting. |
front 302 What clinical manifestations of developmental dysplasia of the hip would be assessed in a newborn? | back 302 Ortolani sign |
front 303 A 2-month-old recently diagnosed with developmental dysplasia of the hip (DDH) is beginning treatment with a Pavlik harness. Which instructions should the nurse provide to the parents? | back 303 Dress the child in a shirt and knee socks under the straps.”, “Lightly massage the skin under the straps daily.”, “Place the diaper under the straps.” |
front 304 The nurse is assessing a 4-week-old infant during a routine office visit. Which assessment finding is most likely to alert the nurse to the presence of right hip developmental dysplasia? | back 304 Presence of extra gluteal folds on the right side |
front 305 The parent of a newborn is concerned about the possibility of the child developing hip dysplasia. Which intervention should the nurse encourage to help reduce the risk in this newborn? | back 305 Swaddle the infant with hips flexed and abducted. |
front 306 A 3-month-old with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction? | back 306 I will adjust the harness straps every 3-5 days. |
front 307 The parent of a newborn is concerned about the possibility of the child developing hip dysplasia. Which intervention should the nurse encourage to help reduce the risk in this newborn? | back 307 Swaddle the infant with hips flex an abducted |
front 308 A 3-month-old child with developmental dysplasia of the hip (DDH) is being fitted for a Pavlik harness. Which statement made by the parent indicates a need for further instruction? | back 308 I will adjust the harness straps every 3-5 days” |
front 309 You have learned that in babies and children with developmental dysplasia (dislocation) of the hip (DDH), the hip joint has not formed normally. Which of the following is the most common form of DDH? | back 309 Subluxation |